Ivabradine (Coming soon)

Reduce your heart rate and stop palpitations

Slow down your heartbeat and stop feeling as if your heart is pounding in your chest with ivabradine (Corlanor), an FDA-approved medication that helps provide symptom improvement to those with autonomic system dysfunction associated with Long COVID or ME/CFS.

We are currently working on this medications. Sign up for early access.

Reduced heart rate and palpitations

Ivabradine can help bring down your racing heart rate and stop the feelings of pounding and racing in your chest, allowing you to relax again.

Improved exercise tolerance

By slowing down the heart rate, ivabradine extends the time available for coronary perfusion—the delivery of oxygen-rich blood to the heart muscle. This improved blood flow and oxygen level enhances the heart’s ability to meet the demands of exercise.

Boosted energy  

As Ivabradine works to slow the heart, this heart rate reduction helps improve metabolism, increases heart filling, and reduces lactate levels, which all work to increase energy.  

Brian Fog

Chest palpitations

Chronic Pain

Tachycardia - Fast heart rate

Fatigue

Exercise intolerance

Learn more about the promising benefits of ivabradine

As a heart condition medication that specifically targets the heart rate and not blood pressure or contractility, ivabradine is an ideal medication to target tachycardia commonly experienced with POTS or inappropriate sinus tachycardia, allowing you to reduce your chest discomfort, increase energy levels, and get back your quality of life.

  • Ivabradine specifically targets the sinoatrial node, which is responsible for initiating the heart’s electrical impulses. By acting on this node, ivabradine reduces the heart rate without affecting myocardial contractility or vascular tone.

  • Dysautonomia patients often struggle with an array of symptoms, but one of the most common and distressing is tachycardia, an abnormally fast heart rate. Ivabradine specifically targets this symptom by reducing the heart rate, which can:

    • Alleviate palpitations

    • Decrease fatigue

    • Improve exercise tolerance

    • Enhance the overall quality of life

  • Ivabradine is safe and generally well-tolerated by patients but there can be mild side effects:

    • Allergic reaction: itching, hives, swelling in face or hands, chest tightness, trouble breathing, swelling or tingling in mouth or throat.

    • Phosphenes (visual brightness or light flashes)

    • Bradycardia (abnormally slow heart rate)

    • Palpitations (if the heart rate drops too low)

    • Elevated blood pressure in some cases

    • Dizziness or lightheadedness

    • Headache

    • Fatigue

    • Nausea

    • Visual disturbances (other than phosphenes)

    • Shortness of breath (dyspnea)

Ready to try ivabradine ?

Take advantage of ivabradine in three easy steps.

Fill out a condition assessment.

1

Share your symptoms, current conditions, allergies and complete a health assessment.

Our clinicians will review your health profile.

2

An expert clinician from RTHM Direct will review your assessment within 1 business day and prescribe the requested medication if it is a good fit for your case. Pay $0 unless medication is prescribed.

Get approved and pick-up your prescription.

3

Pick up and pay for the prescribed treatments at your preferred pharmacy using the coupon card we provide.

Pricing

Ivabradine

Online Consultation

$59

Ivabradine

Total

Pay at pharmacy

$59.00

RTHM patient voices 

“RTHM has given me hope. After struggling with Long COVID for two years, even with the help of a Long COVID clinic, I was still doing all of my own research and trying to keep my doctors advised of the state of the art in treatments.”

— Stuart S.

How do RTHM clinicians prescribe ivabradine?

Every patient’s journey towards health is unique, especially when managing chronic, complex conditions like Long COVID and ME/CFS. That is why we start patients at lower doses and gradually increase them to find the most effective dose with the fewest side effects.

If you are taking ivabradine for the first time, you will initially receive a 30-day prescription at a lower dose, along with clear instructions on how to safely increase your dosage. Once you find your stable dose, you will receive a 60-day prescription at this stable dose.

If you have already found your stable dose of ivabradine, you will have the option to receive a 90-day supply of medication.

Safety is our top priority

The eligibility criteria, the dosing protocols and the treatment guides for every treatment offered via RTHM Direct have been designed by a team of clinicians and pharmacists focused on complex illnesses.

As we continue to navigate the complexities of Long COVID, ME/CFS, and other chronic conditions, we are upholding the highest patient safety standards while expanding access to treatments.

And in case you missed anything.

  • Ivabridine is a selective funny channel blocker that works to decrease the heart rate without affecting any other cardiac function, making it an ideal medication for those with postural orthostatic tachycardia syndrome (POTS), a condition commonly seen in patients with Long COVID or ME/CFS.

  • Certain medical conditions can be contraindicated with ivabradine. Let your healthcare provider know if you have any of the following conditions:

    • Atrial fibrillation

    • Bradycardia (low heart rate)

    • Heart failure

    • Heart rhythm problems, such as heart block or sick sinus syndrome

    • Hypotension (Low blood pressure)

    • Liver disease

    • Pregnant or breastfeeding

    • Worsened heart failure, very low blood pressure, slow heartbeat, or a pacemaker

  • Doses of ivabradine (Corlanor) range from 2.5mg to 5mg taken once or twice a day. Ivabradine is best taken with food, however, do not eat grapefruit or drink grapefruit juice while taking Ivabradine.

  • If you miss a dose, take it as soon as possible. If you are close to the time of your next dose, wait to take the next dose and then resume your normal dosing schedule. Do not “double-up” the dose.

  • Ivabradine is safe and generally well-tolerated by patients but there can be mild side effects:

    • Allergic reaction: itching, hives, swelling in face or hands, chest tightness, trouble breathing, swelling or tingling in mouth or throat.

    • Phosphenes (visual brightness or light flashes)

    • Bradycardia (abnormally slow heart rate)

    • Palpitations (if the heart rate drops too low)

    • Elevated blood pressure in some cases

    • Dizziness or lightheadedness

    • Headache

    • Fatigue

    • Nausea

    • Visual disturbances (other than phosphenes)

    • Shortness of breath (dyspnea)

  • Keep this medication in the container provided by the pharmacy. Ensure it is properly closed and out of the reach of children. Store at room temperature and away from excess heat and moisture (not in the bathroom).

  • Our selected medications are low-risk and research-backed to improve symptoms of chronic complex conditions.

    Each medication assessment is approved by a team of expert clinicians and pharmacists, ensuring the highest standards of patient safety.